A managed marketing team

Another marketing hire, or an entire marketing team.

No one person is a CMO, an ads buyer, an SEO lead, a developer and an AI engineer. We built the whole bench, and it is run for you. You give us the goals. We execute. You never brief, chase or manage a specialist.

20+Years in the industry
100+Businesses and clinics served
92%Client retention in 2025

Prefer to talk? Call (708) 669-9666

  • 92% client retention in 2025
  • 100+ businesses and clinics
  • 20+ years in the industry
Pick your time

Choose a slot and the call is booked.

It is a working session rather than a pitch: a look at how the business currently shows up, where enquiries are going missing, and what we would do first.

In short

Is an agency better than hiring an in-house marketer?

A single marketing hire brings one skill set, and a working marketing program needs about seven: strategy, paid advertising, search and answer engines, social, web development, automation and project management.

VIS Mountain provides those seven as one managed team. You set the goals with a single project manager, who is accountable for all of it and is the only person you talk to; the specialists are run for you and you never manage them. That suits an established business that wants the marketing done rather than a marketing department to run. A business that needs somebody inside the building every day, close to sales and operations, is often better served by a hire.

What you get

Managed for you, not another thing to manage.

The point of this offer is what you do not have to do. You do not hire, brief, chase or manage anyone. You give us the goals, and the team below does the work. The difference between an agency that works and one that quietly stops working is structure, and these are the structure.

  • Seven specialists on your account, run for you: you never brief them, chase them or manage them
  • One project manager who owns your account and is the only person you need to talk to
  • A ticketing hub, so nothing lives in somebody's inbox and you can see what is open
  • Weekly or monthly working sessions at your cadence, to decide things rather than to report
  • One plan and one monthly report covering every channel
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  • Exact scope and pricing on the intro call, with nothing held back until after you sign
  • You own the website, domain, ad accounts, analytics and data throughout
  • Google Partner, and a Meta ads agency for Facebook and Instagram work

If you would rather just talk it through, call (708) 669-9666 and ask for a strategist.

Sound familiar

Most teams do not have a marketing problem. They have an order problem.

An SEO agency here, an ads agency there, a web developer somewhere else, and one in-house marketer holding the whole thing together on a Tuesday afternoon.

Each of those vendors is probably competent. Each reports on the number they control. None of them is responsible for the number you actually care about, and none of them can see the step where it breaks, because the step where it breaks is usually between two of them.

Read the full breakdown: Most teams do not have a marketing problem. They have an order problem.5 more paragraphsHide the full breakdown: Most teams do not have a marketing problem. They have an order problem.

The classic version: the ads agency is buying clicks for a service the website barely mentions, the SEO agency is writing about a different service entirely because nobody shared the search term report, and the developer has a ticket about site speed that has been open since February because it was nobody's priority. Everybody is working. Nothing compounds.

The in-house marketer in the middle of this is not underperforming. They are doing four jobs badly because doing four jobs badly is the only available option when you are the only person in the room. Most of the people we work with got to us at exactly that point.

We take over what is broken and put it back in sequence. Seven specialists, one project manager, one plan, one report. That is the entire pitch, and the reason it works is unglamorous: somebody is finally responsible for the whole chain instead of one link of it.

Sequence, in practice, means a short and boring list. Measurement before spend, because otherwise no later argument can be settled with evidence. The conversion path before more traffic, because sending more people to a page that loses them is an expensive way to prove the page loses them. The Google Business Profile before content, because it moves in weeks rather than quarters. And content before links, because there has to be something worth linking to.

None of that is clever. It is simply what nobody is in a position to enforce when the work is split between four suppliers who each start at their own step and have no authority over the others.

Who actually works on your account

The seven people you would have to hire, and never have to manage.

One salary buys one skill set. This is the bench you get instead, and the point is that you do not run it. You set the goals, the project manager runs the seven, and you get the report. You will not be introduced to seven people or asked to manage any of them.

A grey-haired man in glasses and a light blue shirt strikes an orange line through one box of a hand-drawn plan of boxes and arrows on a whiteboard, while a colleague seen from behind listens with a notebook on her knee.

CMO level strategy

Owns the plan and the numbers. The senior thinking most teams only get from an expensive hire, applied to deciding what not to do as much as what to do.

A woman in a grey blazer wearing a telephone headset presses an orange index card into the third of three columns of cards on a cork board beside her desk, a closed laptop and a desk phone in front of her.

Project manager

Your single point of contact. Runs the work, chases the team, answers to you. Knows your account well enough to make a decision rather than promising to check.

A bearded man in a flannel shirt sits at two monitors, one showing a rising bar chart and the other a grid of small ad tiles, one hand on a desk calculator and a printed spreadsheet striped with orange highlighter on the desk.

Ads specialists

Google and Meta campaigns built and managed by people who do only this, measured against booked work rather than against clicks and impressions.

A man in a navy sweater leans toward a laptop showing a map with pins above a list of grey bars, a second monitor beside it showing a single rising line chart, an orange pencil in his hand over an open notebook.

SEO and answer engine specialists

Search, maps and the AI answer engines, so you get found where people actually look rather than only where it is easiest to report on.

A man with dark curly hair in an olive overshirt scrolls a grid of photo tiles on a phone mounted on a small tripod, a ring light switched off beside him and a wall calendar dotted with orange, green and blue stickers behind.

Social media

Content and channels that feed the rest of the system instead of running off on their own with a separate strategy nobody asked for.

A woman in glasses and a black tee with orange headphones around her neck works at a wide monitor showing a page of flat blocks beside rows of code, a phone in a stand showing the same page and a pencil sketch of it under her hand.

Web developers

The site, the speed and the conversion work, in house rather than subcontracted out and rather than waiting in somebody else's queue.

A bearded man in a grey henley ticks a printed checklist with an orange pen beside a laptop showing a flow of boxes and arrows with small icons, an ordinary desk telephone next to it.

AI automation specialist

Follow-up, routing and reporting automated, so enquiries stop leaking in the gap between somebody asking and somebody answering.

All of it, managed for you

You set the goals. We execute. One plan, one monthly report, one person to talk to, and nobody on your side managing a marketer.

The difference, plainly

What one salary buys. What a team does.

Same seven disciplines either way. The difference is whether each one has somebody who does it for a living.

The roles this work normally takesSix role chips arranged around a single centre: an SEO strategist, a content writer, a web developer, a paid media buyer, a designer and an analyst, all joined to one engagement.THE ROLES THIS WORK NORMALLY TAKESONE TEAMONE ENGAGEMENTSEO STRATEGISTCONTENT WRITERWEB DEVELOPERPAID MEDIA BUYERDESIGNERANALYSTAN ILLUSTRATIVE SPLIT OF ROLES, NOT A HEADCOUNT.
Seven marketing disciplines and one project manager over them, which is the person you talk to, compared with the same seven split across one person's week.

This is illustrative of how the work is staffed rather than a claim about any specific hire you might be comparing against, and your scope is set on the call. What it is trying to show is a real arithmetic problem: a competent generalist can hold perhaps two of these to a professional standard while learning a third, and there are seven.

The disciplines that slip first are always the same. Social, because it never has a deadline. Technical site work, because it is invisible until it is catastrophic. And measurement, because nobody complains when it is missing, they just make worse decisions.

None of that is an argument against having somebody in house. An in-house marketer who understands your business, your pricing and your sales process is genuinely valuable, and a lot of our clients keep theirs. They just stop being the only person who can do everything, which usually means they get to do the part they are actually good at.

It fits the tools you already run

It works alongside your stack. Nothing to rip out.

You do not change systems to work with us. Your ads, listings, website platform, payments, calendar and email stay where they are, and your practice management or EMR is never touched.

The platforms and practice systems your marketing system works alongsideThree groups, left to right. On the left, under the heading platforms we work alongside, a column of 14 cards, each a real platform mark with its name printed beside it: Google Business Profile, Google Ads, Meta, Instagram, TikTok, YouTube, WordPress, Shopify, Stripe, Square, QuickBooks, Gmail, Google Calendar and Calendly. In the middle, one card labelled your inbox, calendar and website: a small website window with a book button, an inbox of tagged enquiries and a calendar with one slot marked booked. On the right, under the heading practice systems we work alongside, EMR, PMS and scheduling, 4 cards: NexHealth, Weave, Tebra and Zocdoc. A line runs from every platform to the centre and a dashed line from the centre to every practice system, and a small pulse travels along each one. A line at the foot reads: the clinical record stays where it is; the booking link, the phone and the follow-up sit beside it.
The platforms and practice systems your marketing system works alongsideThree stages, top to bottom. One, a card labelled your inbox, calendar and website: a small website window with a book button, an inbox of tagged enquiries and a calendar with one slot marked booked. One line runs straight down from it. Two, under the heading platforms we work alongside, 8 cards hang off that line, each a real platform mark with its name printed beside it: Google Business Profile, Google Ads, Meta, Instagram, YouTube, WordPress, Stripe and Google Calendar. Three, under the heading practice systems we work alongside, EMR, PMS and scheduling, 4 more, each named in text beside a plain record icon rather than a logo: NexHealth, Weave, Tebra and Zocdoc. A small pulse travels from each platform up the line to the centre, and from the centre down a dashed line to each practice system. At the foot: the clinical record stays where it is; the booking link, the phone and the follow-up sit beside it.
On the left, the platforms your marketing runs on: search, maps, social, the website platform, payments, calendar and email, each as its own mark. In the middle, the system we run for you: the website, one inbox where every call, form and text lands with its source attached, and the calendar where a booking lands. On the right, the practice systems the booking hands off to, named beside a plain record icon: EMR, practice management and scheduling. The clinical record stays where it is; the booking link, the phone and the follow-up sit beside it.

This is the honest shape of it. We do not build technical integrations into a clinical record, and we would not want to. What connects is a booking link, an embed, a phone number and a follow-up sequence, sitting beside the system you already trust. If you run something that is not drawn here, it almost certainly works the same way.

The list is a picture, not a claim of partnership. We are a Google Partner and a Meta ads agency; with everything else on that drawing we simply do the work alongside it.

One record, everywhere

Your name, address and hours, the same on every listing.

Part of what the team runs for you, quietly, every month: the details that maps and directories quote about your business, kept correct wherever they appear.

One correct record, and the listings that disagree brought back into lineOn the left, one correct business record: a name, an address and a ten digit phone number. Lines run from it to six directory entries stacked on the right: Google Business Profile, Apple Maps, Bing Places, Yelp, Nextdoor and Foursquare. Three of them disagree with the record. Apple Maps shows the last four digits of the phone number wrong, Yelp shows an old address with a line struck through it, and Foursquare shows the middle three digits wrong, and each of those carries a chip reading mismatch with a cross. As a copy of the record travels along the line and reaches each entry, its wrong fields are replaced with the correct ones and its chip changes to corrected with a tick, with a green bracket under the part that changed. At rest three entries read matched and the three that were wrong read corrected.
A single correct name, address and phone record on the left. On the right, directory entries that disagreed with it are corrected as the record reaches them, so every place quoting your details says the same thing.

A wrong suite number on one directory is not cosmetic. It is a contradiction, and contradictions make a search engine less sure which business you are at the moment it is deciding who to show. You will never chase a listing yourself; it is one of the jobs on the bench.

The comparison, honestly

When a hire is the right answer, and when it is not.

We are obviously not a neutral party here, so it is worth setting out the argument in a form you can check rather than asserting the conclusion.

A hire wins on three things, and they are not small. Proximity to the business, because somebody in the building hears the complaints, sits near the sales team and knows why last quarter was odd. Availability, because they are there on a Tuesday afternoon when something breaks. And accumulated context, which is the quiet compounding asset nobody puts on a job description: after two years, a good in-house marketer knows your customers better than any agency will.

Read the full breakdown: When a hire is the right answer, and when it is not.4 more paragraphsHide the full breakdown: When a hire is the right answer, and when it is not.

An agency wins on a different three. Breadth, because seven disciplines genuinely need seven people and no salary buys that. Continuity of skill, because when the person who ran your ads leaves an agency the campaigns carry on and when the person who ran your ads in-house leaves, they do not. And exposure, because a team working across many accounts sees a platform change land on a dozen businesses before it reaches yours.

The honest failure mode on each side is worth naming too. A hire fails when they are asked to be seven people and slowly stop doing the parts that have no deadline, which is always social, technical site work and measurement. An agency fails when nobody inside it knows your business well enough to challenge a brief, so the work is competent and slightly beside the point. We manage that risk with one project manager who owns your account rather than a rotating pool, which is the single structural decision this whole page rests on.

There is also a middle answer, and for a decent number of the businesses we work with it is the right one: one in-house marketer who understands the business, with a specialist team behind them. They stop being the bottleneck on six disciplines and get to do the one they are genuinely good at. If that is your situation, say so on the call, because it changes the scope considerably and usually in your favour.

The question that actually settles it is not cost. It is whether your constraint is knowledge of the business or capacity to execute against it. If nobody understands your customers, hire. If plenty of people understand your customers and nothing ships, this is the cheaper fix.

Why this got harder

The ground moved under everyone at once.

Pew Research Center tracked the browsing of 900 US adults across 68,879 real Google searches in March 2025, and measured what happens when an AI summary appears above the results.

8%clicked a traditional result when an AI summary was present
15%clicked one when no AI summary appeared
1%clicked a link inside the AI summary itself

SourcePew Research Center, Google users are less likely to click on links when an AI summary appears, July 2025

A shift of that size, arriving inside a single year, is exactly the kind of thing a stretched generalist cannot be expected to absorb while also running the ad account and fixing the contact form. It is also why the answer layer is now part of the standard program rather than an experiment we sell separately.

How we work

Less talk. More work.

Three operating rules that decide whether a retainer produces work or produces meetings.

  1. You talk to your project manager, and only them

    One person who knows your account and can actually move it. They run the seven specialists; you do not. No account manager telephone game, no chasing whoever picks up, no being reintroduced to a new handler every quarter.

  2. Everything goes through the hub

    Requests, approvals and questions live in a ticketing hub rather than buried in an inbox. You can see what is open and what shipped, which also means nothing quietly disappears when somebody is on leave.

  3. We meet weekly or monthly

    Your cadence, not ours. Working sessions to make decisions and keep moving, rather than status meetings that exist to fill an hour with things you could have read.

In-person sessions run 8:00am to 6:00pm and every office is by appointment only, including the headquarters. Most working sessions happen remotely, which is usually what people prefer anyway.

One example of specialist work

A tenth of a second is worth measuring.

Google commissioned Deloitte and 55 to study 37 brand sites across more than 30 million user sessions, published in 2020. They measured what a 0.1 second improvement in mobile load time was worth.

21.6%lift in progression to form submission, lead generation sites
8.4%lift in retail conversion rate
9.2%lift in retail average order value

SourceGoogle with Deloitte and 55, Milliseconds Make Millions, 37 sites and 30 million sessions, 2020

That study is from 2020 and the web has got heavier since, not lighter. The point is not the exact figure, it is that site speed is a measurable commercial lever rather than a developer's preference, and that it is the kind of work that only gets done when somebody owns it.

Proof, not promises

What the work actually did.

A vein clinic in Chicago reduced ad spend from about $20,000 to about $7,000 a month. An urgent care in Chicagoland increased average patient count from 15 to 28 patients a day. An occupational and physical therapy clinic in Michigan reported 45% new patient growth after three months.

Client identities are kept private. Results vary by market, budget, competition and other factors, and these are examples of past outcomes rather than a guarantee of future results.

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The industries we already know include dental, urgent care, med spa, primary care, ophthalmology, dermatology, physical therapy and pediatrics, alongside personal injury and bankruptcy law, roofing, HVAC and plumbing, electrical, water damage restoration and e-commerce. We have worked with 100+ businesses and clinics, which usually means we know what your situation needs before you have finished describing it.

Worth saying what is deliberately absent from that paragraph. No averages, no aggregate percentage, no claim about what a typical client sees. Three engagements do not make an average, and presenting them as one would tell you something that is not true about the fourth. Each of those is a specific business in a specific market with a specific budget, and yours will be different.

Reviews

In their own words.

These come from our Google Business Profile as they are written, not retyped onto this page, which means what you are reading is whatever is true today rather than whatever was true when the page was built.

Built in house

The tools your account runs on.

Listings and profile management, brand visibility tracking across search and AI answers, the website and asset layer, and the platform where enquiries land. These are VIS Mountain products rather than resold software, which is why they are included rather than billed as another subscription.

  • Branding Signal
  • Bird Local
  • Web Engine
  • Dash Funnels
  • Google Partner

Build my team.

A 20 minute intro call with a senior strategist. Tell us the goal. You get a straight read on where your leads are leaking and a custom offer with exact scope and pricing, and after that the work is ours to run.

Questions

Straight answers.

Who do I actually talk to?

Your project manager, and only your project manager. They own your account, run the seven specialists, and are the person you contact by ticket or in your weekly or monthly session. You are not routed through a queue or handed to whoever is free.

You do not talk to the specialists and you do not manage them. That is the point of a managed team: you give us the goals, we execute, and you get the report.

Is this cheaper than hiring someone?

It depends entirely on the salary you are comparing against and on what you need done, so anyone who answers that with a confident yes has not asked enough questions.

What we can say is that one hire gets you one skill set and this gets you seven. Published bundles start at $2,400 a month, and exact scope and pricing come on the call. If we are not confident we can return a multiple of your investment, we will tell you and point you somewhere better.

Do I have to fire my current vendors or my in-house marketer?

No. Most clients transition over 30 to 60 days as we take ownership of each channel, and plenty keep an in-house marketer who then has a full team behind them instead of doing everything alone. Nothing goes dark during the handoff.

How fast will I see results?

Paid campaigns and conversion fixes typically move within the first 30 days. Search, maps and AI visibility compound over 90 days and beyond. You will see the plan and the timeline before you commit.

We do not promise rankings or lead volumes. Google's own guidance on hiring an SEO states that nobody can guarantee a number one ranking, and we are not going to pretend otherwise to win a deal.

Who is this for?

Healthcare practices and established local businesses that are past startup stage and want results rather than another employee to manage. It works best when there is already something to optimise: a real service, real customers and a reason people choose you.

Who is this not for?

A pre-revenue business that needs to prove the offer before spending on distribution. A business whose real constraint is capacity rather than demand. And anyone looking for the cheapest possible monthly number, because that is a fair thing to want and we are not it.

What happens on the intro call?

Twenty minutes with a senior strategist who has read your account beforehand. You get a straight read on where your leads are leaking and exact scope and pricing. There is no second call required before you find out what it costs.

Do I own my accounts and data?

Yes, in writing. The website, domain, Google Business Profile, Google Ads and Meta accounts, analytics and customer records stay in your name. If you leave, we transfer access and hand over documentation rather than making you start again.

Next step

Talk to the team

A short call, a look at how the business currently shows up, and a straight answer on what we would do first.

Call (708) 669-9666